The British Journal of Psychiatry (2008) 193: 161-162. doi: 10.1192/bjp.bp.108.050427
© 2008 The Royal College of Psychiatrists
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SHORT REPORTS

Ethnicity and quality of antipsychotic prescribing among in-patients in south London

Anne Connolly, MRPharmS

Pharmacy Department, Maudsley Hospital, London

David Taylor, PhD

Pharmacy Department, Maudsley Hospital, and School of Biomedical Sciences, King’s College, London, UK

Correspondence: David Taylor, Pharmacy Department, Maudsley Hospital, Denmark Hill, London SE5 8AZ, UK. Email: David.Taylor{at}slam.nhs.uk

Declaration of interest

None. Funding detailed in Acknowledgements.

Ethnicity may influence treatment decisions in mental disorders. We undertook a survey of the prescribing of antipsychotics for in-patients in three south London mental health trusts. A total of 255 patients (152 White, 103 Black) were included. Median dose of antipsychotic (% of licensed dose) was 58.3% for White and 50.0% for Black patients (adjusted effect size=0.14, 95% CI –0.34 to 0.63). High-dose antipsychotics were prescribed to 15.1% of White and 11.7% of Black patients (adjusted odds ratio (OR)=0.5, 95% CI 0.19–1.33), and antipsychotic polypharmacy was recorded for 25.7% and 31.1% respectively (adjusted OR=3.05, 95% CI 1.44–6.46). Prescribing quality was similar for Black and White patients.


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